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PACIFIC REGIONAL LANDFILL <br /> VAN ALLIED WASTE COMPANY <br /> ® Client: Landfill: c:L—r w a T 01 <br /> Contact: Generator: <br /> Phone #: Rep"r oldfl Sales Person: <br /> Quantity: o C" 7S Site: 9<9 <br /> Reviewed By: -'—O', Address: SrnM <br /> Waste Profile Form ccept Job# <br /> Chain of Custody cept Approval#: <br /> ❑ Gasoline Contamination 0 Ash <br /> TPH-g 0 Accept TTLC CAM 17 Metals ❑ Accept <br /> BTEX 0 Accept pH 0 Accept <br /> TTLC Pb 0 Accept <br /> ❑ Diesel/Virgin Oil Contamination ❑ Hydraulic Fluid <br /> TPHd ❑ Accept TPH-hf 0 Accept <br /> BTEX ❑ Accept BTEX ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> 0 Waste Oil Contamination 0 Sludge <br /> TPH-g ❑ Accept TTLC CAM 17 Metals ❑ Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG ❑ Accept SVOCs ❑ Accept <br /> VOCs ❑ Accept Paint Filter ❑ Accept <br /> SVOCs ❑ Accept TPH 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> 1p PCBs 0 Accept <br /> 0 Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Antimony 3 Mercury / <br /> TPH Diesel Arsenic Molybdenum WD <br /> TPH Motor Oil Barium ( (Q Nickel 35 <br /> Other: Beryllium N Selenium <br /> Benzene A Cadmium L Silver <br /> Total T.E.X. Chromium Thallium <br /> Total HVOC's Chromium 6 Vanadium f <br /> Total SemiVoc's Cobalt Zinc y <br /> Other: lCopper /3 <br /> Lead <br /> NOTES: <br /> ateQ� DATE: 7 '- 6 Q (y <br /> DISPOSAL: S II SOIL <br /> PRE-LIEN YES NO Check /Management <br /> ® u/ q1 `f <br /> 1145 WEST CHARTER WAY, POST OFFICE BOX 6336 <br /> STOCKTON, CA 95206 <br /> 800.204.4242/FAX 209.466.1067 <br /> www.disposal.com <br />